Managerial and Leadership Competencies of First-Line Nurse Managers in Makkah City: Mixed-Method Approach
Journal Title: IOSR Journal of Nursing and health Science - Year 2019, Vol 7, Issue 1
Abstract
Managing healthcare complexity and challenges requires competent first-line nurse managers (FLNMs). The role of FLNMs is critical and cannot be underestimated in any successful healthcare organization, because they form a direct link between the administration’s vision, mission and staff nurses working in direct healthcare. Furthermore, there is a need to study managerial and leadership competencies of FLNMs within the context of Makkah city`s hospitals. Aim of study: To explore managerial and leadership competencies of first-line nurse managers in Makkah city. Methodology: Descriptive embedded mixed-methods design employed in four general hospitals in Makkah city. FLNMs' managerial and leadership competencies levels were assessed using a descriptive survey of superiors (n=34) and subordinate (n=319) perceptions. Focus group interviews of FLNMs (n=29) were used to identify methods of selecting nurses for managerial positions and reasons for deficit in managerial and leadership competencies among FLNMs. Results: The overall level of managerial and leadership competencies of FLNMs at the four hospitals was novice as perceived by the opinion of the participant. FLMNs were selected for first-line managerial positions by nursing directors, hospital directors, and heads of department. FLNMs believed they were selected for first-line managerial positions according to three criteria: excellent clinical experience in nursing field (55%), shortage of senior FLNMs (31%) and educational qualifications (14%). Four themes were identified regarding reasons for deficit in managerial and leadership competencies among FLNMs namely: working condition, staff nurses, administrative, benefits and opportunities issues. Conclusion: None of the FLNMs were identified to be at the competent level in Makkah hospitals. There was no specific strategy, policy, or criteria to select nurses for first-line managerial positions. Deficit in managerial and leadership competencies were related to performing non-managerial tasks and lack of training, education and preparation of FLNMs, and so on.
Authors and Affiliations
Sharifa B Alomairi, Najlaa El Seesy, Azizah A Rajab
Keywords
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